Jason Mchenry Pa Inc

LBN: Family Medical Clinic
Jason Mchenry Pa Inc is an health care organization with primary practice located at 110 W 1St St , Broken Bow OK 74728-3902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medical Clinic can be contacted via phone (580) 584-7210, or through Mchnery, Jason R via phone (580) 584-7210.

Contact Information

Primary practice address
110 W 1St St Broken Bow OK 74728-3902
Phone: (580) 584-7210
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mchnery, Jason R Physician Assistant (PA)
Phone: (580) 584-7210

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA1255 Oklahoma

Profile Details

NPI number 1912126335
LBN Legal business name Family Medical Clinic
DBA Doing business as Jason Mchenry Pa Inc
Authorized official Mchnery, Jason R Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912126335 NPPES
Oklahoma MEDICAID 200015540B

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